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Transcript
Infection control standards and precautions for Assisted Living Facilities. Infection control is one of the most frequently cited standards in a survey Examples: •Improper hand washing and gloving techniques. •Hand sanitizer use or non-use. •Lack of cleaning glucometer between uses. •Not wearing gloves when using glucometer. •Not washing hands between apartments. •Failing to follow universal precautions. Universal/Standard Precautions Hand Hygiene: o Follow the CDC Guidelines o When hands are visibly dirty, contaminated, or soiled, wash hands with non-antimicrobial or antimicrobial soap and water. o If hands are not visibly soiled, use an alcohol-based handrub for routinely decontaminating hands. When to Wash Hands: After caring for personal needs Before and after each patient contact Before eating, drinking, handling food Following contact with a contaminated object Upon return from public places After handling waste materials, secretions, drainage or blood Before and after shift Before and after touching wounds Before and wearing gloves Anytime you think you may have had contact Personal Protective Equipment (PPE) o Know what PPE to wear depends on what your potential exposure is: contact, splashing or airborne. •Gloves for contact with blood, bodily fluids or other potentially infectious materials o Recommended times to wear gloves Doing mouth care, suctioning Bowel routine, enemas Empty drainage receptacles Changing linens Handling specimens Wound care *Goggles anytime there is potential for splashing in eyes Cleaning versus Disinfecting o o o o Asepsis: Refers to the absence of pathogens. Aseptic: Refers to techniques to prevent contact with pathogens. Disinfection: Kills or retards the growth of germs. Sterilization: Process that kills all microorganisms. Equipment and Supplies Use disposable when possible When cleaning/disinfecting equipment, supplies, etc *Read manufacture cleaning recommendations *Read facility policy and procedures •Solutions to disinfect: –Bleach 1:10 –70% isopropyl alcohol –3% hydrogen peroxide –Some commercial products (Read Labels) •Bleach is an all purpose disinfectant but it can corrode metal. Employees Screening and Education Requirements o Screen employees for communicable diseases, including TB o Initial Infection Control Education o Annual Infection Control Training